PROGNOSTIC VALUE OF CARCINOEMBRYONIC ANTIGEN LEVELS IN TRANSOPERATIVE PERITONEAL LAVAGE IN PATIENTS WITH GASTRIC CANCER

ABSTRACT Background: The carcinoembryonic antigen level in peritoneal lavage has been showing to be a reliable prognostic factor in gastric cancer. Aim: To identify any association between carcinoembryonic antigen level in peritoneal lavage, in gastric cancer patients, with mortality, peritoneal...

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Main Authors: Letícia Biscaino ALVES, Maria Teresa TSUKAZAN, Ana Elisa SERAFIM, Rolando MENDOZA, Alexandre Vontobel PADOIN, Plínio Carlos BAÚ, Luis Fernando MOREIRA
Format: Article
Language:English
Published: Colégio Brasileiro de Cirurgia Digestiva 2018-06-01
Series:ABCD: Arquivos Brasileiros de Cirurgia Digestiva
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202018000100319&tlng=pt
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author Letícia Biscaino ALVES
Maria Teresa TSUKAZAN
Ana Elisa SERAFIM
Rolando MENDOZA
Alexandre Vontobel PADOIN
Plínio Carlos BAÚ
Luis Fernando MOREIRA
author_facet Letícia Biscaino ALVES
Maria Teresa TSUKAZAN
Ana Elisa SERAFIM
Rolando MENDOZA
Alexandre Vontobel PADOIN
Plínio Carlos BAÚ
Luis Fernando MOREIRA
author_sort Letícia Biscaino ALVES
collection DOAJ
description ABSTRACT Background: The carcinoembryonic antigen level in peritoneal lavage has been showing to be a reliable prognostic factor in gastric cancer. Aim: To identify any association between carcinoembryonic antigen level in peritoneal lavage, in gastric cancer patients, with mortality, peritoneal recurrence, tumor relapse or other prognostic factors. Methods: In total, 30 patients (22 men, 8 women; median age 66 years) with resectable gastric cancer (mainly stage III and IV) were studied. Carcinoembryonic antigen level in peritoneal lavage was detected at operation by immunocytochemical method and a level over 210 ng/g of protein was considered as positive. Results: There were detected 10 positive cases (33.3%) of plCEA levels. These levels were associated with mortality, RR: 2.1 (p=0.018); peritoneal recurrence, OR: 9.0 (p=0.015); and relapse or gastric cancer progression, OR: 27.0 (p=0.001). Conclusion: Increased levels of plCEA fairly predicts mortality, peritoneal recurrence tumor relapse or cancer progression.
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spelling doaj.art-e3f6f15d85fa44ec8b0e59a0e76814132022-12-21T19:23:43ZengColégio Brasileiro de Cirurgia DigestivaABCD: Arquivos Brasileiros de Cirurgia Digestiva0102-67202018-06-0131110.1590/0102-672020180001e1358PROGNOSTIC VALUE OF CARCINOEMBRYONIC ANTIGEN LEVELS IN TRANSOPERATIVE PERITONEAL LAVAGE IN PATIENTS WITH GASTRIC CANCERLetícia Biscaino ALVESMaria Teresa TSUKAZANAna Elisa SERAFIMRolando MENDOZAAlexandre Vontobel PADOINPlínio Carlos BAÚLuis Fernando MOREIRAABSTRACT Background: The carcinoembryonic antigen level in peritoneal lavage has been showing to be a reliable prognostic factor in gastric cancer. Aim: To identify any association between carcinoembryonic antigen level in peritoneal lavage, in gastric cancer patients, with mortality, peritoneal recurrence, tumor relapse or other prognostic factors. Methods: In total, 30 patients (22 men, 8 women; median age 66 years) with resectable gastric cancer (mainly stage III and IV) were studied. Carcinoembryonic antigen level in peritoneal lavage was detected at operation by immunocytochemical method and a level over 210 ng/g of protein was considered as positive. Results: There were detected 10 positive cases (33.3%) of plCEA levels. These levels were associated with mortality, RR: 2.1 (p=0.018); peritoneal recurrence, OR: 9.0 (p=0.015); and relapse or gastric cancer progression, OR: 27.0 (p=0.001). Conclusion: Increased levels of plCEA fairly predicts mortality, peritoneal recurrence tumor relapse or cancer progression.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202018000100319&tlng=ptCarcinoembryonic antigenPeritoneal lavageGastric cancerPeritoneal recurrenceMortality
spellingShingle Letícia Biscaino ALVES
Maria Teresa TSUKAZAN
Ana Elisa SERAFIM
Rolando MENDOZA
Alexandre Vontobel PADOIN
Plínio Carlos BAÚ
Luis Fernando MOREIRA
PROGNOSTIC VALUE OF CARCINOEMBRYONIC ANTIGEN LEVELS IN TRANSOPERATIVE PERITONEAL LAVAGE IN PATIENTS WITH GASTRIC CANCER
ABCD: Arquivos Brasileiros de Cirurgia Digestiva
Carcinoembryonic antigen
Peritoneal lavage
Gastric cancer
Peritoneal recurrence
Mortality
title PROGNOSTIC VALUE OF CARCINOEMBRYONIC ANTIGEN LEVELS IN TRANSOPERATIVE PERITONEAL LAVAGE IN PATIENTS WITH GASTRIC CANCER
title_full PROGNOSTIC VALUE OF CARCINOEMBRYONIC ANTIGEN LEVELS IN TRANSOPERATIVE PERITONEAL LAVAGE IN PATIENTS WITH GASTRIC CANCER
title_fullStr PROGNOSTIC VALUE OF CARCINOEMBRYONIC ANTIGEN LEVELS IN TRANSOPERATIVE PERITONEAL LAVAGE IN PATIENTS WITH GASTRIC CANCER
title_full_unstemmed PROGNOSTIC VALUE OF CARCINOEMBRYONIC ANTIGEN LEVELS IN TRANSOPERATIVE PERITONEAL LAVAGE IN PATIENTS WITH GASTRIC CANCER
title_short PROGNOSTIC VALUE OF CARCINOEMBRYONIC ANTIGEN LEVELS IN TRANSOPERATIVE PERITONEAL LAVAGE IN PATIENTS WITH GASTRIC CANCER
title_sort prognostic value of carcinoembryonic antigen levels in transoperative peritoneal lavage in patients with gastric cancer
topic Carcinoembryonic antigen
Peritoneal lavage
Gastric cancer
Peritoneal recurrence
Mortality
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202018000100319&tlng=pt
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